| Life Enhancement Services Maryland | |
|
6340 Security Blvd Ste 100 Baltimore MD 21207-5173 | |
| (202) 269-2401 | |
| Not Available |
| Full Name | Life Enhancement Services Maryland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6340 Security Blvd Ste 100, Baltimore, Maryland |
| Authorized Official Name and Position | Herbert Gray (CEO) |
| Authorized Official Contact | 2022692401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services Maryland 1818 New York Ave Ne Ste 115 Washington DC 20002-1851 Ph: (202) 269-2401 | Life Enhancement Services Maryland 6340 Security Blvd Ste 100 Baltimore MD 21207-5173 Ph: (202) 269-2401 |
| NPI Number | 1366015455 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 02/26/2023 |
| Certification Date | 02/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366015455 | NPI | - | NPPES |
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